| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.41 | $370.73 | $1,621.66 | |
Lucent Health
| Facility | $150.00 | $150.00 | $1,917.00 | |
Optum
| Facility | $115.00 | $115.00 | $115.00 |
Behavioral Health Treatments/Services Extension of 090X-Other Behavioral Health Treatments/Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.41 | $370.73 | $1,621.66 | |
Lucent Health
| Facility | $150.00 | $150.00 | $1,917.00 | |
Optum
| Facility | $115.00 | $115.00 | $115.00 |